23 Miss. Code. R. 203-4.15

Current through December 10, 2024

Rule 23-203-4.15 - Keloids

A. Medicaid covers the initial evaluation consultation to diagnose the condition and/or develop a plan of treatment.

B. Medicaid covers treatment only when there is medical documentation that demonstrates any of the following signs and symptoms:

1. Pain,

2. Persistent itching and/or burning sensation,

3. Ulceration and bleeding,

4. Limitation of movement of the head or a digit or extremity,

5. Obstruction of a bodily orifice,

6. Infection, or

7. Fast growth.

C. Medicaid covered Keloid treatments include the following:

1. Intralesional injection, including cortisone injections,

2. Topical treatment,

3. Excision (surgery), and

4. Radiation therapy.

D. Medicaid does not require prior approval for treatment of keloids.

1. The physician must retain all documentation supporting medical necessity in the record.

2. Documentation must include size, location and severity of symptoms.

3. Photographs may also be used to support medical necessity.

23 Miss. Code. R. 203-4.15

Miss. Code Ann. § 43-13-121